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Medical Chart Abstraction Form (approved 8/29/2019)
ICR 201907-0920-001 · OMB 0920-1011 · Object 96761901.
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Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Medical Chart Abstraction Form (approved 8/29/2019) |
| Author | Evans, Mary (Molly) (CDC/DDNID/NCIPC/DUIP) |
| File Created | 2021-01-15 |
| Conversion State | partial |